Sedgwick · 14 hours ago
Claims Adjuster - Workers Compensation | Jurisdiction: WA | Licensing: WA preferred (Remote)
United States
Full-time
Remote
Mid Level
4+ years expSedgwick is a global leader in the industry, dedicated to providing exceptional service and support to clients. The Claims Adjuster role involves adjudicating complex workers compensation claims, managing action plans, and ensuring compliance with company standards and best practices. The position offers professional development opportunities and a flexible work environment.
BankingInsuranceRisk Management
Responsibilities
Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency
Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments
Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract
Manages subrogation of claims and negotiates settlements
Communicates claim action with claimant and client
Ensures claim files are properly documented and claims coding is correct
May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review
Maintains professional client relationships
Performs other duties as assigned
Supports the organization's quality program(s)
Travels as required
Qualification
Required
Bachelor's degree from an accredited college or university preferred
Four (4) years of claims management experience or equivalent combination of education and experience required
Jurisdiction Knowledge: Washington
Licensing: Washington
Benefits
Flexible work schedule.
Referral incentive program.
Opportunity to work in an agile environment.
Career development and promotional growth opportunities.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Company
Sedgwick
Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$1.5BKey Investors
Altas PartnersLa Caisse
2024-09-12Private Equity· $1B
2018-12-01Private Equity
2018-09-12Acquired
Leadership Team
Michael Arbour
Chairman & Chief Executive Officer
Kalani Reelitz
Global Chief Financial Officer
Recent News
Morningstar.com
2025-11-10
2025-09-04
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